21D2308508 CLIA NUMBER - WALGREENS #19149

Laboratory Demographics

  • CLIA Code: 21D2308508
  • Facility Name: WALGREENS #19149
  • Facility Address: 6 CARROLL ISLAND RD
    BALTIMORE, MD
    ZIP 21220
  • Facility Phone: 410 335-2323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZAN ALNABELSI
  • NPI Number: 1942056585
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2308508
LAB Type Pharmacy
Facility Name WALGREENS #19149
Street 6 CARROLL ISLAND RD
City BALTIMORE
State MD
ZIP 21220
Phone 410 335-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Pharmacy
Lab Director SUZAN ALNABELSI

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This page was last updated on: 6/4/2025